Active NPI
Tiffanie Parker-Lewin
- Addiction (Substance Use Disorder) Registered Nurse
- Valley Cottage, NY
National Provider Identifier
1780144154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- 640270
- Practice address
- 706 Executive Blvd
Valley Cottage, NY 10989-2038 - Phone
- (845) 362-3904
- Fax
- (845) 262-5083
- NPI assigned
- Mar 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 640270 | NY | Primary |
Addresses
Primary practice location
706 Executive Blvd
Valley Cottage, NY 10989-2038
Mailing address
706 Executive Blvd
Valley Cottage, NY 10989-2038
Phone (845) 362-3904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 640270 | NY | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1780144154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 EXECUTIVE BLVD",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892038",
"telephone_number": "845-362-3904",
"fax_number": "845-262-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 EXECUTIVE BLVD",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892038",
"telephone_number": "845-362-3904",
"fax_number": "845-262-5083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER-LEWIN",
"first_name": "TIFFANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "640270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Cottage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.